The enduring value of the physical exam to achieve diagnostic excellence.

IF 1.9 Q2 MEDICINE, GENERAL & INTERNAL
Diagnosis Pub Date : 2026-09-14 DOI:10.1515/dx-2026-0145
Brian T Garibaldi, Stephen W Russell
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引用次数: 0

Abstract

Physical examination remains a cornerstone of diagnostic excellence, even in an era dominated by advanced technology. Evidence shows that a well-performed physical exam not only improves diagnostic accuracy but also reduces medical errors, lowers healthcare costs, and strengthens the patient-physician relationship. This article highlights how the physical exam often provides pivotal findings that technology cannot replace. Strengthening bedside skills through intentional practice, evidence-based techniques, and integration of supportive technologies is essential to enhance diagnostic reasoning, mitigate uncertainty, and restore professional fulfillment. This article offers practical, modern strategies to reinvigorate the physical exam, integrating evidence, education, and technology, critical for achieving safer, more effective, and patient-centered care.

体检实现卓越诊断的持久价值。
即使在一个由先进技术主导的时代,身体检查仍然是卓越诊断的基石。有证据表明,良好的身体检查不仅能提高诊断的准确性,还能减少医疗错误,降低医疗成本,并加强医患关系。这篇文章强调了身体检查如何经常提供技术无法取代的关键发现。通过有意识的实践、循证技术和支持性技术的整合来加强床边技能,对于提高诊断推理、减轻不确定性和恢复专业成就感至关重要。本文提供了实用的、现代的策略来重振体检,整合证据、教育和技术,这对于实现更安全、更有效和以患者为中心的护理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Diagnosis
Diagnosis MEDICINE, GENERAL & INTERNAL-
CiteScore
7.20
自引率
5.70%
发文量
41
期刊介绍: Diagnosis focuses on how diagnosis can be advanced, how it is taught, and how and why it can fail, leading to diagnostic errors. The journal welcomes both fundamental and applied works, improvement initiatives, opinions, and debates to encourage new thinking on improving this critical aspect of healthcare quality.  Topics: -Factors that promote diagnostic quality and safety -Clinical reasoning -Diagnostic errors in medicine -The factors that contribute to diagnostic error: human factors, cognitive issues, and system-related breakdowns -Improving the value of diagnosis – eliminating waste and unnecessary testing -How culture and removing blame promote awareness of diagnostic errors -Training and education related to clinical reasoning and diagnostic skills -Advances in laboratory testing and imaging that improve diagnostic capability -Local, national and international initiatives to reduce diagnostic error
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